Southern Nevada VA Medical Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SOUTHERN NEVADA VA MEDICAL CENTER

Practice address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Phone

(709) 791-9000

NPI assigned

Jul 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Denina, NP

Title

Primary Care Nurse Practitioner

Phone

(702) 791-9040

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1750128252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "709-791-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "709-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "DENINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRIMARY CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-791-9040",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maydelin Sotolongo Sanchez
• Maritza Sotomayor
• Southern Comfort Pca
• Southern Comfort Pca
• Southern Nevada Children First
• Starla Southward
• Southwest Healthcare Center LLC
• Southwest Healthcare Center LLC
• Southwest Healthcare LLC
• Lani Lim Souza, PMHNP-BC

• Family Nurse Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.